Scott Gerson LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SCOTT GERSON LLC

Practice address

12 Warner Rd
Maplewood, NJ 07040-2011

Phone

(973) 319-2830

NPI assigned

Jul 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Gerson, LCSWNPI 1407066269

Title

Owner

Phone

(973) 319-2830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Gerson, L.C.S.W.

  • Clinical Social Worker
  • Maplewood, NJ
  • NPI 1407066269
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1437995065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WARNER RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402011",
            "telephone_number": "973-319-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WARNER RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402011",
            "telephone_number": "973-319-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-319-2830",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Savage, LMSW
• Robin Scheib, MS-CCC-SLP
• Louis B Schlesinger, PHD
• Sophia Schneiderman, M.A., CCC-SLP
• Stephanie Schultz, RDN
• Seat at the Soul LLC
• Dorsa Seimaa
• Seniorscom Care, Inc (all season care, inc)
• Clarencia Shade, LCSW
• Yusuf Nathaniel Shaheed, LCADC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.